Individual provider Active NPI

Katherine M Kubovy, DC, DABCI

  • Internist Chiropractor
  • Olathe, KS
National Provider Identifier
1659699502
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
01-05347 Issued in KS
Practice address
17795 W 106TH St Ste 200
Olathe, KS 66061-3155
Phone
(913) 359-3880
NPI assigned
May 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05347 KS
Chiropractor 111N00000X 1616 NE
Internist Chiropractor 111NI0900X 1616 NE
Internist Chiropractor 111NI0900X 01-05347 KS Primary

Addresses

Primary practice location

17795 W 106TH St Ste 200
Olathe, KS 66061-3155

Mailing address

17795 W 106TH St Ste 200
Olathe, KS 66061-3155
Phone (913) 359-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1616NEMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kubovy Integrative Healthcare, P.a. Internist Current Accepting new patients
Chiropractic Health Center Internist Past Accepting new patients
Chiropractic Health Center, LLC Internist Past Accepting new patients

Locations

15545 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 541-1919

17795 W 106th St
Ste 200
Olathe, KS 66061
Phone (913) 359-3880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1659699502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17795 W 106TH ST STE 200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613155",
            "telephone_number": "913-359-3880",
            "fax_number": "913-894-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17795 W 106TH ST STE 200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613155",
            "telephone_number": "913-359-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBOVY",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC, DABCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05347",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1616",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NE",
            "license": "1616",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-05347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.